Name that Mentor
What mentor do you go to when a member calls in for a CGM (Continuous Glucose Monitor)?
Diabetic Care Overview Medicare
What do we use the PAPI screen in CI for?
The PAPI screen in CI provides a summary of a member’s product package
What tab in gmairc do we find who does the demographic updates?
Enrollment/Benefits
What mentor do you use when member calls in to dispute a letter stating they have another medical insurance?
Medicare COB Overview
What screen can you find the accumulations on?
MAI
What benefit do we quote for MRI, PET Scan, CAT Scan, Angiogram ?
Outpatient Advanced Imaging Services
A member calls in, but we suspect this a bad actor trying to get into someone's account, what mentor do we use?
Phishing Calls Guidance
What process tool do we use in gmairc when a member calls in stating they are moving?
Market Search Tool
What mentor document is used when there is a denied claim and you need to know what the denial code means?
CAS Deny, MPay, and Pend Codes Master